Johnson Olubusola E, Adegoke Babatunde O A, Ogunlade Samuel O
Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife Nigeria.
Department of Physiotherapy, University of Ibadan, Ibadan Nigeria.
J Jpn Phys Ther Assoc. 2010;13(1):9-16. doi: 10.1298/jjpta.13.9.
This study compared efficacy of combinations of Back Muscles Endurance Exercise (BMEE) and McKenzie Exercise (ME) and McKenzie Back Care Education (MBE) in the management of long term mechanical Low Back Pain (LBP).
A single-blind randomized controlled comparative trial was employed. Seventy three participants mean age 45.3 ± 8.1 years were recruited for the study but only 53 completed the study. Participants in group A were treated with a combination of BMEE, ME and MBE. Group B: A combination BMEE and MBE. Group C: A combination of ME and MBE. Group D: MBE only. Participants were seen thrice weekly for 8 weeks. They were measured for pain intensity, lumbar flexibility, activities limitation and self esteem. Data were analysed using descriptive and inferential statistics of F-test. Significance was set at 0.05 alpha-level.
At the end of the study, the four treatment groups had significant reduction in pain intensity p<0.05. Post hoc analysis showed groups A, B, and C had significantly greater reduction than D, and groups A and C had significantly greater reduction than B. Groups A, B and C also had significant improvement in activities limitation p<0.05. Post hoc analysis showed groups A, B and C had significantly greater improvement than D, and group B significantly greater improvement than C.
Combination physiotherapy regimens proved effective in the management of long- term mechanical LBP. Regimen A is recommended in managing long-term mechanical LBP.
本研究比较了背部肌肉耐力训练（BMEE）、麦肯基疗法（ME）和麦肯基背部护理教育（MBE）联合应用对长期机械性下腰痛（LBP）的治疗效果。
采用单盲随机对照比较试验。73名平均年龄为45.3±8.1岁的参与者被招募参加研究，但只有53人完成了研究。A组参与者接受BMEE、ME和MBE联合治疗。B组：BMEE和MBE联合治疗。C组：ME和MBE联合治疗。D组：仅接受MBE治疗。参与者每周接受三次治疗，共8周。测量他们的疼痛强度、腰椎柔韧性、活动受限程度和自尊水平。数据采用F检验的描述性和推断性统计方法进行分析。显著性设定为α水平0.05。
研究结束时，四个治疗组的疼痛强度均显著降低（p<0.05）。事后分析显示，A组、B组和C组的疼痛强度降低幅度显著大于D组，A组和C组的降低幅度显著大于B组。A组、B组和C组的活动受限程度也有显著改善（p<0.05）。事后分析显示，A组、B组和C组的改善程度显著大于D组，B组的改善程度显著大于C组。
联合物理治疗方案被证明对长期机械性LBP有效。建议采用方案A治疗长期机械性LBP。
